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Community Case Management

Community Case Management Tool Kit

This Community Case Management Tool Kit was compiled by the Poudre Valley Hospital Community Case Management program to provide you with tools you will need to develop your own program. A community case management program will enable you to better manage transitional care, avoid unnecessary hospitalizations and improve health in your community.

The PVHS Community Case Management program stands apart from other community case management programs throughout the nation in five unique ways:

  1. It is 100% financially supported by the hospital.
  2. It is independently run by advanced practice nurses and a master's level licensed clinical social worker.
  3. It serves clients long- and short-term without time or disease limits.
  4. It has shown sustained cost avoidance of up to three million dollars per year which significantly surpass the cost of the program.
  5. It has a proven track record; the program is in its fifteenth successful year.

Program staff members continually strive toward excellence and best practice in nursing, with goals to continually improve data collection and secure sound evidence- and research-based practice. PVH is dedicated to maintaining and growing its internationally-recognized Community Case Management Program. The program has allowed PVHS to be well-positioned for response to the current healthcare industry focus on chronic disease management and minimization of 30-day re-admission rates for certain diagnoses.


With the current emphasis on Delivery System Reform and Accountable Care focused on utilization, expense management, and clinical outcomes, care models which include programs like community case management are timely and essential for the survival and success of organizations across the country.


Order your tool kit today


The tool kit contains detailed information guiding you through implementing your own community case management program and also comes with two discs, a DVD and a CD.


The DVD includes:

  1. A video of the information presented at the 2009 ANCC National Magnet Nursing conference when the Magnet Prize was awarded.
  2. The Community Case Managers Point of View video which illustrates what community case managers do on a daily basis.
  3. The Executive Point of View, interviews with Poudre Valley Health System senior managers.  

The CD includes examples or instructions regarding how to develop programs in your own communities. These documents are either in Microsoft Word or Adobe PDF format to be used to help you create your own community case management program.


Implementing your own community case management program could not only benefit those suffering with chronic illnesses in your community but could also save your organization substantial dollars in terms of cost avoidance.


You may order a complete Tool Kit for $25 with 100% of the proceeds benefitting the PVHS Client Need Fund. Call 970.495.8554 or email and order yours today.

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